Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,641.04 / $8,229.00	Facility		$2,747.00	$3,641.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,175.37 / $3,553.59 / $4,385.67	Professional		$3,175.37	$3,553.59	$4,385.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,787.57 / $3,377.89 / $4,874.39	Professional		$2,787.57	$3,377.89	$4,874.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,376.24 / $4,634.06 / $5,345.71	Facility		$3,376.24	$4,634.06	$5,345.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,310.04 / $4,634.06 / $6,620.08	Professional		$3,310.04	$4,634.06	$6,620.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,469.63 / $4,081.92 / $4,227.70	Professional		$3,469.63	$4,081.92	$4,227.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,641.04	Professional		$32.34	$32.34	$3,641.04
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,169.61 / $4,250.35 / $6,936.87	Professional		$3,169.61	$4,250.35	$6,936.87